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五个欧洲城市健康老龄化的协调预防护理方法:过程评估组成的混合方法研究
Author(s) -
Franse Carmen B.,
Zhang Xuxi,
Grieken Amy,
Rietjens Judith,
AlhambraBorrás Tamara,
Durá Estrella,
GarcésFerrer Jorge,
Staveren Rob,
Rentoumis Tasos,
Markaki Athina,
Bilajac Lovorka,
Vasiljev Marchesi Vanja,
Rukavina Tomislav,
Verma Arpana,
Williams Greg,
Clough Gary,
Koppelaar Elin,
Martijn Rens,
Mattace Raso Francesco,
Voorham Antonius J. J.,
Raat Hein
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14181
Subject(s) - loneliness , polypharmacy , thematic analysis , medicine , health care , gerontology , focus group , qualitative property , nursing , feeling , intervention (counseling) , population , qualitative research , psychology , environmental health , psychiatry , social psychology , social science , business , marketing , machine learning , sociology , computer science , economics , economic growth
Aims To evaluate specific process components of the Urban Health Centres Europe (UHCE) approach; a coordinated preventive care approach aimed at healthy ageing by decreasing falls, polypharmacy, loneliness and frailty among older persons in community settings of five cities in the United Kingdom, Greece, Croatia, the Netherlands and Spain. Design Mixed methods evaluation of specific process components of the UHCE approach: reach of the target population, dose of the intervention actually delivered and received by participants and satisfaction and experience of main stakeholders involved in the approach. Methods The UHCE approach intervention consisted of a preventive assessment, shared decision‐making on a care plan and enrolment in one or more of four coordinated care‐pathways that targeted falls, polypharmacy, loneliness and frailty. Quantitative data from a questionnaire and quantitative/qualitative data from logbooks were collected among older persons involved in the approach. Qualitative data from focus groups were collected among older persons, informal caregivers and professionals involved in the approach. Quantitative data were analysed by means of descriptive statistics and multilevel logistic regression models. Qualitative data were analysed through thematic analysis. Results Having limited function was associated with non‐enrolment in falls and loneliness care‐pathways (both p < .01). The mean rating of the approach was 8.3/10 ( SD 1.9). Feeling supported by a care professional and meeting people were main benefits for older persons. Mistrust towards unfamiliar care providers, lack of confidence to engage in care activities and health constraints were main barriers towards engagement in care. Conclusions Although the UHCE approach was received generally positively, health constraints and psychosocial barriers prevented older person's engagement in care. Impact Coordinated preventive care approaches for older community‐dwelling persons should address health constraints and psychosocial barriers that hinder older person's engagement in care. Trial registration : ISRCTN registry number is ISRCTN52788952. Date of registration is 13/03/2017.